National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 268544

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

268544
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-06
Submitted:2006-12-07
Entered:2006-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / - - / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. C2457AA / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Insomnia, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Scan
CDC 'Split Type':

Write-up:Several hours after vaccines given pt complained of HA and dizziness, insomnia. Next am s/s worse fainted. taken by paramedics to Hospital ER on 12/6/06.


Changed on 12/8/2009

268544 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-06
Submitted:2006-12-07
Entered:2006-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / - - / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR, INC. AVENTIS PASTEUR C2457AA / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Insomnia, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Scan
CDC 'Split Type':

Write-up:Several hours after vaccines given pt complained of HA and dizziness, insomnia. Next am s/s worse fainted. taken by paramedics to Hospital ER on 12/6/06.


Changed on 5/14/2017

268544 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-06
Submitted:2006-12-07
Entered:2006-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - - / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2457AA / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Insomnia, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Scan
CDC 'Split Type':

Write-up:Several hours after vaccines given pt complained of HA and dizziness, insomnia. Next am s/s worse fainted. taken by paramedics to Hospital ER on 12/6/06.


Changed on 9/14/2017

268544 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:California
Vaccinated:2006-12-05
Onset:2006-12-06
Submitted:2006-12-07
Entered:2006-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - UNK - / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache, Insomnia, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT Scan
CDC 'Split Type':

Write-up:Several hours after vaccines given pt complained of HA and dizziness, insomnia. Next am s/s worse fainted. taken by paramedics to Hospital ER on 12/6/06.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268544&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166